NASDAQ$ASTH

Astrana Health Inc · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Astrana Health, Inc. reported its financial results for the fourth quarter and year ended December 31, 2024, showing significant revenue growth but a net loss for the quarter.

Astrana Health, Inc. experienced substantial revenue growth in Q4 2024, with total revenue increasing by 88% year-over-year, primarily driven by a 98% increase in Care Partners revenue; however, the company reported a net loss of $7.0 million for the quarter, compared to a net income in the prior year period.

  • Total revenue for Q4 2024 increased by 88% to $665.2 million, up from $353.0 million in Q4 2023.
  • Care Partners revenue grew by 98% to $647.7 million in Q4 2024, compared to $326.8 million in Q4 2023.
  • The company reported a net loss attributable to Astrana of $7.0 million in Q4 2024, a decline from a net income of $12.4 million in Q4 2023.
  • Adjusted EBITDA for Q4 2024 increased by 21% to $35.0 million, up from $29.0 million in Q4 2023.

Headline financials

Total Revenue

$665M

Previous: $353M+88.4%
EPS (adj)

-$0.15

Previous: $0.26-157.7%
Adjusted EBITDA

$35M

Previous: $29M+20.8%
Adjusted EBITDA Margin

5.0%

Previous: 8.0%-37.5%
Net Income

-$7.78M

Previous: $12.4M-162.9%
Operating Income

$720K

Previous: -$3.87M+118.6%

Revenue & EPS history

Astrana Health · Revenue · Quarterly

$665M

Q4 2024+88.4%vs Q4 2023
Beat estimate in 10 of 14 quarters(71%)
ActualEstimate

Forward guidance

For 2025, Astrana Health, Inc. projects total revenue between $2.5 billion and $2.7 billion, and Adjusted EBITDA between $170 million and $190 million, based on existing business and market conditions, including strategic investments in automation and AI, and integration costs from planned acquisitions.

Tailwinds

  • Guidance includes approximately $15 million in expected costs for continued strategic investments in automation and AI.
  • Guidance includes ongoing and expected integration costs associated with planned acquisitions.
  • The company's existing business forms the basis for the guidance, indicating stability.
  • Current view of existing market conditions is factored into the guidance.
  • Assumptions for the year ending December 31, 2025, are incorporated.

Headwinds

  • Guidance does not include contributions from any acquisitions which have not yet closed.
  • There is no assurance that actual amounts will not be materially higher or lower than these expectations.
  • Forward-looking statements are not guarantees of future performance.
  • Actual results may vary materially due to risks, uncertainties, and other factors.
  • The company undertakes no obligation to publicly update any forward-looking statement.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

+0.7%

Avg return

Earnings day

-2.1%

Avg return

5 days after

+2.1%

Avg return

30 days after

40%

23 / 57 earnings

Positive

+83.3%

Q3 2011

Best reaction

-40.5%

Q2 2012

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q4 2025+29.4%+22.5%+20.6%
Q3 2025-23.4%-29.4%-33.8%
Q1 2025-11.1%-20.8%-24.5%
Q4 2024-26.8%+5.0%+16.1%
Q3 2024-21.1%-27.9%-30.4%
Q2 2024-1.4%-1.8%+0.1%
Q1 2024-0.7%+1.5%+8.0%
Q4 2023+2.3%+1.8%-1.9%
Q3 2023+9.3%+2.9%+13.4%
Q2 2023+4.2%+3.5%-17.4%
Q1 2023+5.4%+7.0%-0.8%
Q4 2022+6.9%+5.2%+15.2%
Q3 2022+8.4%+8.9%-14.5%
Q2 2022-4.3%-11.0%-29.3%
Q1 2022-0.5%-5.4%-26.4%
Q4 2021-2.0%-11.0%-7.0%
Q3 2021+14.7%+30.5%+0.8%
Q2 2021-11.8%-10.7%-12.9%
Q1 2021+4.5%+4.7%+10.9%
Q4 2020+9.1%+8.8%+8.3%
Q3 2020-1.2%-1.6%+0.5%
Q2 2020+1.8%+2.4%+7.9%
Q1 2020-10.4%-11.6%+13.1%
Q4 2019-12.9%-24.0%+7.0%
Q3 2019-2.9%-0.9%+25.0%
Q2 2019-5.0%+4.8%+31.1%
Q1 2019-1.2%-4.3%-29.7%
Q4 2018-6.4%-8.3%-6.9%
Q3 2018+26.3%+4.0%-4.6%
Q2 2018-13.7%-23.3%-32.2%
Q4 2017+10.8%-6.3%+2.1%
Q1 2018+10.8%-6.3%+2.1%
Q3 2017+3.9%+3.9%+140.0%
Q2 2017+0.0%+0.0%-10.5%
Q1 2017+0.0%+6.7%+36.7%
Q1 2016+4.0%+4.0%+0.0%
Q3 2016-4.8%
Q2 2016-12.9%
Q1 2015-6.5%
Q3 2015-3.2%
Q2 2015+0.0%
Q2 2014+15.6%
Q4 2013
Q3 2013+1.6%
Q2 2013+13.5%
Q1 2013-13.3%
Q4 2012-2.2%
Q3 2012-9.1%
Q2 2012-40.5%
Q1 2012+0.0%
Q4 2011
Q3 2011+83.3%
Q2 2011+0.5%
Q1 2011-0.5%
Q4 2010-3.9%
Q3 2010+19.0%
Q2 2010+0.0%
Q1 2010-2.1%
Q4 2009+9.9%

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